gastro ./ lower gastrointestinal bleeding
Gastro-oesophageal Reflux, Factors That Determine It And Treatments
By Groshan Fabiola
Gastro-oesophageal reflux is a condition that appears if the lower oesophageal sphincter is abnormally relaxed. Because of the abnormally relaxed oesophageal sphincter, stomach's acidic contents can reflux into the gullet. This fact can also provoke heartburn, and if this happens daily, you must contact your doctor in order to receive medical care and advices.
Repeated episodes of gastro-oesophageal reflux can cause oesophagitis, which is the inflammation of the inner lining of the oesophagus. Gastro-esophageal reflux oesophagitis usually comes with symptoms like a burning or a painful sensation in the upper abdomen or chest, that sometimes radiates to the back, some patients can have breathing difficulties and suffer from hoarseness, and also excess belching can appear.
It was observed that gastro-oesophageal reflux appears especially after eating a large or fatty meal, drinking alcohol, lying down, bending over or bending and lifting. Usually, symptoms occur rarely, but there are also cases when they appear weekly, or even daily.
It is also known that smoking makes the gastro-oesophageal reflux to become much worse.
Gastro-oesophageal reflux can have a great influence in our lifestyle, the quality of our life can become lower. This disease can provoke oesophagitis if you are exposed for a long time to refluxed acid, and also, if oesophagitis lasts for a long time, it will lead to complications. There can appear a scar-tissue that contracts and a narrowing will come in the affected part of the oesophagus. Of course, this is a grave situation, the patient will have great difficulties when we wants to swallow, or he will not be able to swallow at all. He will need immediately medical care, but fortunately, this complication is rare.
The oesophageal sphincter, which is the muscular ring situated near the diaphragm, at the lower end of the oesophagus is functioning as one-way valve. It has the role to prevent stomach contents from flowing upward. When the sphincter is not working properly, stomach acid will flow into the oesophagus. It is not known the exact cause of gastro-oesophageal reflux apparition, but there are a few conditions that surely contribute to this problem.
If the patient has an overweight problem, the excessive fat in the abdominal cavity makes the pressure inside it to increase. That determines the contents of the stomach to travel up into the gullet.
Hiatus hernia is also a problem that can
lead to gastro-oesophageal reflux apparition. The oesophagus remains open because the diaphragm is not closing the lower end, and stomach acid will enter into the oesophagus.
In pregnancy, the uterus increases in size, it presses the stomach ,and the possibility of the reflux to come grows.
You should avoid tobacco, some foods like peppermint, coffee, fruit juices, chocolate and alcohol, and also you must take in consideration that lying down makes the reflux tendency to increase.
Usually, the symptoms of gastro-oesophageal reflux are obvious, so no tests are needed, but the doctor can perform some tests if he has doubts. For example, he can perform a gastroscopy, or can measure the acidity in the lower end of the oesophagus during a 24-hour period. There exists another method too, used only in complicated cases, and that is called oesophageal manometry.
If you want to reduce the risk of developing reflux, you should stop smoking, drink less coffee and alcohol, avoid high-fat meals, and try to lose weight if it is necessary.
If you do not have frequent symptoms, you can treat with antacids and histamine antagonists, no medical attention being needed, but if symptoms are very unpleasant, and the heartburn is frequent, you must go to the doctor at once.The doctor will determine if there are necessary some tests, or if you need stronger medication.
Usually antacids successfully have effect in controlling the symptoms, but if antacid medication fails, the doctor will prescribe medicines called histamine H2 antagonists, and next , if it is needed, proton pump inhibitors. There exist also a small number of cases that require laparoscopical procedure, where the oesophageal sphincter is strengthened. Article Source: http://www.articlemap.com For more resources about acid reflux or especially about acid reflux treatment please click this link www.acid-reflux-info-guide.com/acid-reflux-treatment.htm
Notes on blocking requests based on the HTTP protocol used
I'm still clearing out some links from last month,
just so you know.
?Selectively Disabling HTTP/1.0 and HTTP/1.1?
(via Lobsters)
describes an experiment with disabling (or redirecting) requests made via HTTP/1.1,
as most of the traffic the author saw via HTTP/1.1 they classified as ?bad.?
I decided to check that against my own server?in fact,
I'm checking it against my blog specifically,
since it's the only dynamic site I'm serving up
(the rest are all static sites).
So,
how do requests to my blog stack up?
Requests per HTTP protocol
| protocol | count |
|---|
| HTTP/1.0 | 396 |
| HTTP/1.1 | 377647 |
| HTTP/2.0 | 180093 |
| Total | 558136 |
HTTP/1.0 is negligable,
and a breakdown of response codes show that these requests aren't even bad:
HTTP/1.0 request statuses
| response | count |
|---|
SUCCESS.OKAY | 371 |
REDIRECT.MOVEPERM | 13 |
REDIRECT.NOTMODIFIED | 8 |
CLIENT.UNAUTHORIZED | 4 |
The majority of requests are to my RSS feed.
There are a vanishingly small number of agents using HTTP/1.0,
at least from where I can see.
Around ? of my traffic is still HTTP/1.1:
HTTP/1.1 request statuses
| response | count |
|---|
SUCCESS.OKAY | 289181 |
SUCCESS.ACCEPTED | 2 |
SUCCESS.PARTIALCONTENT | 7 |
REDIRECT.MOVEPERM | 886 |
REDIRECT.NOTMODIFIED | 69299 |
CLIENT.BADREQ | 3 |
CLIENT.UNAUTHORIZED | 441 |
CLIENT.FORBIDDEN | 5 |
CLIENT.NOTFOUND | 13249 |
CLIENT.METHODNOTALLOWED | 19 |
CLIENT.GONE | 82 |
CLIENT.TOOMANYREQUESTS | 4211 |
SERVER.INTERNALERR | 261 |
SERVER.NOSERVICE | 1 |
And the results for HTTP/2.0:
HTTP/2.0 request statutes
| response | count |
|---|
SUCCESS.OKAY | 103472 |
SUCCESS.PARTIALCONTENT | 1496 |
REDIRECT.MOVEPERM | 5089 |
REDIRECT.NOTMODIFIED | 68966 |
CLIENT.BADREQ | 3 |
CLIENT.UNAUTHORIZED | 47 |
CLIENT.NOTFOUND | 902 |
CLIENT.METHODNOTALLOWED | 6 |
CLIENT.GONE | 36 |
CLIENT.TOOMANYREQUESTS | 25 |
SERVER.INTERNALERR | 51 |
About 4% of the HTTP/1.1 traffic is ?bad? in the ?client made an error? bad,
where as HTTP/2.0 only has ½% of such ?bad? traffic.
Feed readers are pretty much split 50/50 as per protocol,
and the rest?
I would have to do a deeper dive into it,
but I do note that there are significally more bad clients making too many requests (CLIENT.TOOMANYREQUESTS) with HTTP/1.1 than with HTTP/2.0.
The article concludes that blocking solely on HTTP/1.x is probably not worth it,
as there are other ways to block bad traffic.
In that light,
and with the results I have,
I don't think blocking HTTP/1.1 will work for me.
In contrast,
there's ?HTTP/1.1 must die: the desync endgame,?
an article that explitely calls for the immediate removal of HTTP/1.1,
but unstated in that article is that the desync problem is more a problem of Enterprise based websites,
with lots of middleware boxes mucking with the request chain on a web-based application.
Based on that article,
I would think that if you are running an application-centric website,
then yes,
maybe blocking HTTP/1.x is a thing to do,
but if you are running a more document-centric website
(you know, the ?old, fun and funky web? from before 2005 or so)
then maybe blocking HTTP/2.0 is in order.
In fact,
I think that might be a decent idea?leave HTTP/1.x for those who want the old web
(or the ?smolweb?),
and HTTP/2.0 for the application web.
If you want to only browse the docweb and you get an 426 HTTP_UPGRADE,
then you know you can close the website and avoid downloading 50MB of Javascript to just read a few hundred words in text.
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Are you ready for more anti-LLM rhetoric? Because I'm ready for more anti-LLM rhetoric
I'm still clearing out some links I collected last month about LLM usage.
Scott Smitelli's blog entry ?You don?t have to if you don?t want to?
(via Lobsters)
explains my position on LLMs better than I could.
This bit goes into a bit more about those who value the destination vs. those who value the journey:
Put simply, Toby deeply values shipping things and providing
value to society, and Lyle doesn?t. Lyle values expertise in a
skill carried out with utmost care and craft, and Toby doesn?t.
Toby?s ultimate dream, beyond the whole furniture thing, is to
eventually make enough money?having never completely settled on what
nebulous sum of money constitutes ?enough? for him?that he can
retire into peaceful old age. Lyle wants to keep doing what he does
until his body finally gives out, and then to continue doing it for
a little while longer. Any discussion between the two of them that
brings these incompatible sets of values into tension is going to
end up in some kind of argument that neither side will concede. And
who would expect them to? These are the very foundations of their
personalities.
This, right here, is why everybody is fighting all the time.
We?re all trying to argue positions based on mismatched values. Not
wrong values. Mismatched.
?
Sure, and if you want to wear clean clothes, you could either do
the laundry or you could throw your wardrobe away after one wear and
have fresh replacements drop-shipped from China.22 The
two approaches are only equivalent to maintain if you are willing to
ignore the massive Rube Goldberg machine of complexity that one side
requires that the other side doesn?t.
?
22. Rob Rhinehart, the mind behind the Soylent meal replacement
drink, apparently did exactly this. The Luddites would probably
have had some choice words for him.
You don?t have to if you don?t want to.
Footnote 22 just kills me. Of course someone who doesn't want to take the time to even eat will buy new clothes instead of washing them.
Wow!
I wish I could follow this advice,
that I don't have to if I don't want to,
but it's hard when ?Tech Firms Aren?t Just Encouraging Their Workers to Use AI. They?re Enforcing It?
(via Hacker News).
Is it too much of an ask not use a tool if I'm still productive without it?
And speaking of Hacker News,
this quote reinforces a bit I said the other day about new computer language adaption:
The cynical part of me thinks that software has peaked. New languages and
technology will be derivatives of existing tech. There will be no React
successor. There will never be a browser that can run something other than
JS. And the reason for that is because in 20 years the new engineers will
not know how to code anymore.
Hacker News comment
And when Hacker News is critical of LLMs,
you know it's getting bad out there.
And one final link I found today: ?Future Shock?
(via Lobsters).
I'm not sure what I make of this.
On the one hand,
it does describe what I'm feeling but on the other hand,
it's basically yet another ?learn or get left behind? article.
And this from Ceej?a technical blogger I was reading way back in the 1990s!
Aside from the ?you will use this or lose your job? aspect I hate,
another aspect I don't like is the whole ?micromanage the output??if I have to micromanage the obsequiously incompetent non-thinking Markov chain generator,
I might as well write the code myself!
And you clouds!
Get off my lawn!
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